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Ureaplasma urealyticum laboratory findings

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Fatimo Biobaku M.B.B.S [2]

Overview

Microbial culture method and/or PCR-based techniques are the two reliable methods for making a diagnosis of Ureaplasma colonization/infection. PCR-based techniques are more sensitive than culture.[1][2][3]

Laboratory Findings

Colonization and infection with Ureaplasma species are diagnosed based on culture results and/or PCR.[2][4][5][6][7][8][3]

Microscopy

Culture method: Ureaplasma species have been cultured from different sites of the body of infants such as the blood, CSF, nasopharynx, endotracheal secretions, gastric aspirates, pleural fluid, lung and brain tissue. Ureaplasma species are also the most common organism isolated from infected amniotic fluid and placenta. Culture from sites such as the urogenital tract, rectum, and joint aspirate, has been documented. Conventional bacteriologic culture methods cannot identify these species and special culture for Mycoplasma is often used.

Molecular-based test

PCR-based method: This is a rapid and more sensitive technique for detection of Ureaplasma species compared to microbial culture method.

References

  1. Resch B, Gutmann C, Reiterer F, Luxner J, Urlesberger B (2016). “Neonatal Ureaplasma urealyticum colonization increases pulmonary and cerebral morbidity despite treatment with macrolide antibiotics”. Infection. 44 (3): 323–7. doi:10.1007/s15010-015-0858-7. PMID 26518581  26518581 Check |pmid= value (help).
  2. 2.0 2.1 Yoneda N, Yoneda S, Niimi H, Ueno T, Hayashi S, Ito M; et al. (2016). “Polymicrobial Amniotic Fluid Infection with Mycoplasma/Ureaplasma and Other Bacteria Induces Severe Intra-Amniotic Inflammation Associated with Poor Perinatal Prognosis in Preterm Labor”. Am J Reprod Immunol. 75 (2): 112–25. doi:10.1111/aji.12456. PMID 26668114.
  3. 3.0 3.1 Ollikainen J, Hiekkaniemi H, Korppi M, Sarkkinen H, Heinonen K (1993). “Ureaplasma urealyticum infection associated with acute respiratory insufficiency and death in premature infants”. J Pediatr. 122 (5 Pt 1): 756–60. PMID 8496757.
  4. Waites KB, Crouse DT, Cassell GH (1993). “Systemic neonatal infection due to Ureaplasma urealyticum”. Clin Infect Dis. 17 Suppl 1: S131–5. PMID 8399903.
  5. Waites KB, Crouse DT, Philips JB, Canupp KC, Cassell GH (1989). “Ureaplasmal pneumonia and sepsis associated with persistent pulmonary hypertension of the newborn”. Pediatrics. 83 (1): 79–85. PMID 2909979.
  6. Resch B, Gutmann C, Reiterer F, Luxner J, Urlesberger B (2016). “Neonatal Ureaplasma urealyticum colonization increases pulmonary and cerebral morbidity despite treatment with macrolide antibiotics”. Infection. 44 (3): 323–7. doi:10.1007/s15010-015-0858-7. PMID 26518581.
  7. Okogbule-Wonodi AC, Gross GW, Sun CC, Agthe AG, Xiao L, Waites KB; et al. (2011). “Necrotizing enterocolitis is associated with ureaplasma colonization in preterm infants”. Pediatr Res. 69 (5 Pt 1): 442–7. doi:10.1203/PDR.0b013e3182111827. PMC 3968774. PMID 21258263.
  8. Ollikainen J, Hiekkaniemi H, Korppi M, Katila ML, Heinonen K (1993). “Ureaplasma urealyticum cultured from brain tissue of preterm twins who died of intraventricular hemorrhage”. Scand J Infect Dis. 25 (4): 529–31. PMID 8248756.

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